To be filled in electronically only
Information on remitter / payer (account holder)
Name / Account to be debited (10 digits)
Address
Postal code/city / Phone no.
Payment type and details
Currency / Choose the currency of transfer. / Amount / Execution date
ONLY to be completed if you require a currency equivalent: / Click here to enter an execution date. /
Equivalent amount / Choose the currency of the debit account. / Currency of transfer / Choose the currency of transfer. /
Payment type
Choose only one option / ☐Ordinary / ☐Currency account transfer
within Nordea Denmark / ☐Nordea Intercompany Payment
Between own accountswithin Nordea international units / ☐Express
Fee type
Choose only one option / ☐Share
Remitter and beneficiary share costs` / ☐Our
The remitter pays all charges. Nordea executes all payments to EU and EEA countries[1] as “Share”.
Standing order / ☐Tick box to choose standing order / Start date / Number of times / End date / Interval
Click here to enter a date / Choose a number / Click here to enter a date / Choose an interval /
Sweeping of account / ☐Tick box to choose sweeping of account / Min. amount to be transferred / Max. amount to be transferred / Balance to remain in the account
Beneficiary information
Account number or IBAN
Name
Address
City/state / Country
Information on beneficiary bank
BIC/ SWIFT
8 or 11 characters / Clearing code and/or additional mandatory codes
Name
Address
City / state / Country
Correspondent bank BIC/SWIFT (optional)
Other information
Message to beneficiary/ purpose of payment and/or purpose code (max 140 characters)
Ref. to debitaccount holder (max 20 characters)
Otherwise General terms and conditions for personal customers, Data processing policy and Terms and conditions for payment accounts for personal customers as well as General terms and conditions for corporate customers, Data processing policy and Terms and conditions for payment accounts for corporate customers apply.
Date and signature
Please note that according to section 11A of the Danish Tax Control Act Nordea must check transfers to accounts held with foreign banks etc by persons/companies liable to tax inDenmark.
To be completed by Nordea
Security code / Date / Click here to enter a date / Branch stamp and signature
G-Logon / Branch number
Additional information
Instruction
Payment instruction should be filled in electronically, printed out, signed by customer and delivered to Nordea’s branch. All payment instructions that do not fulfil Nordea’s payment requirements will be rejected.
Information on remitter / payer (account holder)
Name/ Address/ Postal code/city (mandatory)
Type in the payer’s full name and address in the relevant fields.
Account to be debited (10 digits) (mandatory)
Type in debit account number (last 10 digits).
Payment type and details
Currency/ Amount
Choose currency from the drop-down list in the “Currency” box and type the amount of transfer in the “Amount” box.
OR
If you wish to indicate that an amount denominated in the currency of the debit account should be transferred in another currency, then use the two fields below instead. Type in “Equivalent amount” and “Currency of transfer”.
E.g. if you make a payment from a DKK account, you can indicate, that 1.000,00 DKK should be converted and sent as EUR.
Payment type
Please choose only one option by ticking the appropriate box.
Fee type
Possible fee types (choose only one of the options):
1. For all transfers to countries within the EEA[2] the remitter must pay the fee charged by Nordea and the beneficiary pays the fee charged by the beneficiary's bank (SHARE).
2. For transfers to countries outside the EEA2 the remitter can choose either
-to pay the fee to Nordea, and the beneficiary pays the fee charged by the beneficiary's bank (SHARE), or
-to pay both the fee to Nordea and the fee charged by the beneficiary's bank (OUR).
Further fees may apply if the payment is handled by several banks.
Standing order (optional)
Standing order is an automated service for recurring payments. If you choose this service, you need to fill in all the related fields. You specify how long the standing order should run, by indicating EITHER a “Number of times” OR an “End date”.
Sweeping of account (optional)
Sweeping of account is an automated service, only to be used in connection with standing orders (see above). The sweeping service calculates the transferred amount on the basis of three values: “minimum amount to be transferred”, ”maximum amount to be transferred” and “balance to remain on the account”. If you choose this service you need to fill in all the related fields.
Please notice:The sweeping service only works for future payments. This means that the start date (indicated in the section Standing order), must be a day in the future (at least one banking day).
Beneficiary information
Account no, IBAN for IBAN countries
Type in the beneficiary's account number in this field.
For certain countries a so-called IBAN-only principle applies. This principle impliesthat the beneficiary’s bank is identified through the IBAN of the beneficiary. Nordeawill derive all the needed information on the beneficiary’s bank from the IBAN. Ifyou include any information on the beneficiary’s bank, such as a BIC or name andaddress in a payment instruction, even if it is not needed, Nordea will ignore thisinformation and use the information that can be derived from the IBAN instead.
Read more on the IBAN-only principle, and for which countries it applies, on
Name/ Address/ City/state /Country (mandatory)
Type in the beneficiary's name and full address – all sub-fields are mandatory.
Information on beneficiary bank
BIC/ SWIFT
Type in the 8- or 11-character BIC/ SWIFT code of the beneficiary's bank. This information is mandatory for all countries that are not so-called IBAN-only countries (see above).
Clearing code and/or additional mandatory codes
In this field all additional codes can be stated e.g. clearing code.
Clearing code of the beneficiary's bank is recommended in case of payments to USA, Australia, Canada and South Africa. Additionally for those countries full beneficiary’s bank data should be provided (name and address). Do not include a bank code, if beneficiary’s account is an IBAN.
Name/ Address/ City/state
These fields are not needed for payments to so-called IBAN-only countries (see above).
Correspondent bank BIC/SWFT
Type in the BIC/SWIFT on an intermediary bank, if a special routing of the payment is needed. This is normally not needed.
Other information
Message to beneficiary
This field is intended for message information to the beneficiary, e.g. invoice numbers or purpose of payment. Maximum message length is 140 characters.
Ref. to remitter
In this field you can type in information that will be visible only to sender. It will appear on your account statement. Maximum length is 20 characters.
[1] EEA countries are the EU countries and the EFTA countries Norway, Liechtenstein and Iceland.
Nordea Danmark, filial af Nordea Bank Abp, Finland, FO-nr. 2858394-9, Patent- och registerstyrelsen, CVR-nr. 25992180, København / V. 10/2018[2] EEA countries are the EU countries and the EFTA countries Norway, Liechtenstein and Iceland.
Nordea Danmark, filial af Nordea Bank Abp, Finland, FO-nr. 2858394-9, Patent- och registerstyrelsen, CVR-nr. 25992180, København / V. 10/2018